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concepts 2 chapt 2

concepts 2 unit 1

QuestionAnswer
What do MD/DO providers do? Diagnose, treat, order tests/meds, and direct patient care
What is the role of a Physician Assistant (PA)? Works under physicians to assist in patient care
What can a Nurse Practitioner (NP) do? Diagnose and prescribe as an advanced practice RN
What is the RN’s role? Direct care, supervision, and patient management
What does an LPN/LVN do? Provides care under RN or physician supervision
What is a CNA responsible for? Basic patient care and assisting nurses
What is a UAP? Performs delegated tasks (may be more advanced depending on state)
What does a Respiratory Therapist (RT) treat? Breathing and cardiopulmonary disorders
What is the role of Physical Therapy (PT/PTA)? Restore movement and physical function
What does Occupational Therapy (OT/COTA) focus on? Activities of daily living (ADLs)
What does a Speech Therapist treat? Speech, swallowing, and communication issues
What does a Pathologist do? Diagnoses disease via tissue/blood
What does an MLT/MT do? Lab testing and blood analysis
What does a Phlebotomist do? Draws blood
What does a Radiologist do? Interprets imaging
What does a Radiology Tech do? Performs imaging (CT, MRI, X-ray)
What is the pharmacist’s role? Medication safety, dispensing, and counseling
What does a Registered Dietitian (RD) do? Nutrition planning and education
What does a Social Worker do? Discharge planning and emotional support
What does a Chaplain provide? Spiritual support
What improves care coordination? EHR/HIT systems
What is TeamSTEPPS? Evidence-based teamwork system
What is the nurse’s communication role? Central link between team, patient, and family
What is Managed Care? Cost control by managing services
What is Medical Necessity? Care must be reasonable and required
What are the two levels of care? Inpatient and Outpatient
Examples of inpatient settings? Hospitals, rehab, skilled nursing
Examples of outpatient settings? Clinics, home health, hospice
What is Team Nursing? RN + assistive staff share care
What is Client-Centered Care? Patient makes decisions
What is Primary Nursing? ONE nurse responsible for all care
What is Case Management? Coordinates care for complex patients
Main goal of ACA? xpand coverage and reduce costs
ACA benefit for young adults? Stay on parents’ plan until 26
Preventive care under ACA? Free
What did ACA eliminate? Lifetime coverage caps
Who qualifies for Medicare? Age 65+, ESRD, disabilities
Medicare uses what payment system? DRGs
Who qualifies for Medicaid? Low-income individuals
What is an HMO? Requires PCP + in-network only
What is a PPO? More provider flexibility
What is a POS plan? Combination of HMO & PPO
TRICARE covers who? Military families
CHAMPVA covers who? Veterans
Worker’s Compensation covers what? Work-related injuries
What is Concierge Medicine? Annual fee for 24/7 provider access
Other payment options? Self-pay, payment plans, charities
Created by: muvamayi
 

 



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